Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $263.03	Professional	26	$85.11	$120.23	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $158.49 / $208.93	Professional	26	$107.15	$158.49	$208.93
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	26	$457.09	$457.09	$457.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $186.21 / $251.19	Professional	26	$158.49	$186.21	$251.19
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $173.78 / $281.84	Professional	26	$102.33	$173.78	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $117.49 / $194.98	Professional	26	$100.00	$117.49	$194.98